Assessing the Effect of a Hospice and Palliative Medicine Curriculum on Emergency Medicine Residents' Knowledge.

Background : In the average Emergency Medicine (EM) residency program there is little formal Hospice and Palliative Medicine (HPM) training, despite these skills used frequency in the Emergency Department (ED) setting, from symptomatic management to end of life communications. Objective : This resea...

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Publicado en:American Journal of Hospice & Palliative Medicine Vol. 40; no. 5; pp. 462 - 468
Autores principales: Nguyen, David, Matese, Thomas
Formato: clinical trial research tables/charts Journal Article
Publicado: Sage Publications Inc. May2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2023
      vid: 40
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/10499091221102541
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        atl: Assessing the Effect of a Hospice and Palliative Medicine Curriculum on Emergency Medicine Residents' Knowledge.
      aug:
        au:
          Nguyen, David
          Matese, Thomas
        affil: St. Lucie Medical Center, Port St Lucie, FL, USA
      sug:
        subj:
          Hospice Care Education
          Palliative Medicine Education
          Curriculum
          Emergency Medicine Education
          Interns and Residents
          Professional Knowledge
          Terminal Care
          Emergency Service
          Human
          Clinical Trials
          Funding Source
          Summated Rating Scaling
          Pretest-Posttest Design
          Descriptive Statistics
          T-Tests
          Goals and Objectives
          Self Assessment
      ab: Background : In the average Emergency Medicine (EM) residency program there is little formal Hospice and Palliative Medicine (HPM) training, despite these skills used frequency in the Emergency Department (ED) setting, from symptomatic management to end of life communications. Objective : This research project aims to determine if a Free Open Access Medical Education based HPM curriculum will improve knowledge and comfort level of end-of-life care in EM residents within the ED. The curriculum consisted of an in-person lecture series along with self-directed learning through online modules covering a variety of foundational topics. Methods : A 10-point Likert-scale pre- and post-intervention self-survey, assessing HPM comfort level and foundation/knowledge base and skills, was administered to the residents. Results : 16/18 residents (89%) responded to the pre-intervention survey and 13/18 residents (72%) answered the post-intervention survey. There was a statistically significant increase of the residents' understanding of the difference between hospice and palliative care (pre-intervention mean of 4.44, post-intervention mean of 7.69, P =.004), as well as their perspective of how often they consult those services for patients they see in the ED (pre-intervention mean of 2.19, post-intervention mean of 3.92, P =.02) and their overall understanding of the foundations of this field (pre-intervention mean of 4.19, post-intervention mean of 7.23, P =.0002). Conclusion : The curriculum increased the EM residents' understanding of the foundations of the HPM field, their fundamental knowledge of the differences between the 2 disciplines, and the frequency of how often they consult these specialties in the ED.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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